SI04 Wangu (Wrist Bone)

腕骨wàn gǔWangu

Small Intestine Meridian

Location of acupuncture point SI04 Wangu (Wrist Bone)
48
Indications
21
Protocols
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Location

On the ulnar side of the palm in the depression the between base of the 5th metacarpal bone and hamate bone.

No specific contraindications.

Indications

Conditions for which SI04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

AgitationMuscle WastingChillsCold ShoulderContraction ArmContraction ElbowSpleen DeficiencyDisease FebrileBreathing Shortness Of Breath ProblemsEyesight / Vision Superficial ObstructionSuperficial Obstruction VisionFever FullnessHeatHemiplegiaElbow StiffnessFinger StiffnessFinger Contraction StiffnessImmobility ElbowImmobility FingerImmobility Finger ContractionJaundiceWatery EyesMalariaPainBack PainLower Back PainRib PainHeadacheLeg PainShoulder PainWrist PainPharyngitisMuscle SpasmsChannel StagnationSpontaneous Sweating SwellingCheek SwellingEar SwellingJaw SwellingNeck SwellingSubmandibular SwellingDamp Heat SyndromeDamp-heat SyndromeTaste LossThirsting ExcessiveTinnitusWrist Weakness

Protocols using SI04

  • Shoulder Pain, Neck Pain, Stiffness NeckSI03, SI04, SI09, SI10, SI11, SI12, SI14, BL11, BL12, BL65, TB14, TB15, TB16, TB17, GB21 (doi:10.1136/acupmed-2013-010410)
  • Shoulder Pain, Neck Pain, Spasm Facial Hemifacial, Spasm Eyelid, BlepharospasmLI04, ST01, ST02, ST04, ST06, ST07, ST40, SI04, SI18, BL02, TB17, TB23, LV02, LV03 (doi:10.3831/KPI.2013.16.019)
  • Constipation, Hand Weakness, Myelopathy Cervical, Dysesthesia Hand, Lower-extremity Weakness, Tingling Finger PainSI03, SI04, SI14, SI15, GB21 (doi:10.1097/MD.0000000000012249)
  • Fatigue, Insomnia, Fibromyalgia, Widespread PainSI03, SI04, BL62, BL64, BL65 (doi:10.1155/2019/9684649)
  • Anxiety, Depression, Insomnia, Itching, Itchiness Skin, Pruritus, Prurigo Nodularis, Pruritus ChronicLI04, LI11, ST25, ST36, ST42, SP06, SP10, SI04, BL17, BL64, TB04, TB05, GB20, GB40, CV06, CV12, GV14, GV16, GV20, GV24 (doi:10.2147/CCID.S336109)
  • Allodynia, Complex Regional Pain Syndrome, Hand Swelling, Wrist Left Pain, Hand Left PainLI05, SI04, TB04, TB05 (doi:10.3390/children8121187)
  • Paralysis Incomplete-spinal-cord-injury, Motor-deficit, Sensory-deficit, Activities-of-daily-living ImpairedLI04, LI10, LI11, LI15, HT08, SI03, SI04, BL62, TB02, TB06, GV20 (doi:10.1155/2021/5671998)
  • Shoulder Blade Pain, Headache Occipital, Neck Pain, Arm Numbness, Cervical Pain, Radiculopathy Cervical, Scapular PainSI04, SI11, SI15, GB20, GB21 (doi:10.1097/MD.0000000000039483)
  • Stroke, Shoulder Pain, Shoulder-hand Syndrome, Stroke Sequelae, Shoulder-hand Syndrome Post-stroke, Edema HandLI15, SI04, SI09, TB02, TB04, TB14 (doi:10.1186/s12906-025-04916-9)
  • Chemotherapy Nausea, Vomiting Chemotherapy-induced, Nausea Anticipatory, Vomiting Acute, Vomiting DelayedLU09, LI04, ST36, SP06, HT07, SI04, KD03, PC06, GB40, LV14, CV12 (doi:10.1590/1980-220X-REEUSP-2023-0191en)
  • Fatigue, Anxiety, Weakness, Depression, Pain, Insomnia, Nausea, Drowsiness, Dyspnea, Pruritus, Restless Legs Syndrome, Muscle CrampLI04, HT07, SI04, PC06, GB31 (doi:10.1177/20543581241267164)
  • Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand NumbnessLU05, LI05, LI10, HT03, SI04, PC03, PC07, TB05 (doi:10.2147/JPR.S551446)
  • Spasticity Upper Limb, Spasticity Lower Limb, Paralysis Spastic Hemiplegia, Spasticity LimbLU05, LI04, LI11, LI15, SI04, BL60, GB34 (doi:10.27879/d.cnki.ggxzy.2025.000667)
  • Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling FingersLI05, SI04, BL13, BL15, TB04, TB05, GV11, GV12, GV13 (doi:10.27820/d.cnki.gszxy.2023.000394)
  • Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling FingersLI05, SI04, BL23, TB04, TB05, CV04 (doi:10.27820/d.cnki.gszxy.2023.000394)
  • Paralysis FacialSI04, SI07 (doi:10.26988/d.cnki.gcdzu.2023.000139)
  • Spasticity Post-stroke, Spasticity Upper LimbSI03, SI04, XU11A, XU11B, XU11C, XU11D, XU11E, XU11F, XU11G, XU11H, XU11I, XU11J (doi:10.7759/cureus.105930)
  • Neck Pain, Radiculopathy CervicalSI04, SI11, SI15, GB20, GB21 (doi:10.1097/MD.0000000000039483)
  • Damp Liver, Damp Gallbladder, Heat Liver, Heat Gallbladder, Damp Liver, Damp Gallbladder, Heat Liver, Heat GallbladderLI11, ST02, ST19, ST20, ST25, SP09, SP16, SI04, BL01, BL02, BL19, XB02T10 (Yang Yong-Xuan, clinical point-selection notes)
  • JaundiceSI03, SI04, BL19, BL48, KD01, KD07, PC08, CV12, GV09 (杨薇付修文李月玲杨华升. 古代针灸歌赋中治疗黄疸的穴位分析. 继续医学教育 ., 2018 [CNKI])
  • Upper Limb Weakness, Upper Limb Numbness, Peripheral Nerve Injury Upper LimbLI04, LI10, LI11, LI15, SI03, SI04, SI07, SI08, PC03, PC06, TB05 (章明星王蕊刘阳阳刘建卫郭义. 基于现代文献总结针灸治疗周围神经损伤选穴规律. 北京中医药大学学报 ., 2015 [CNKI])

Most often selected alongside SI04

How many sourced protocols in the index pair each point with SI04. Corpus frequency, not a combination to use.

  • LI04Junction Valley7 protocols
  • SI03Back Stream7 protocols
  • TB05Outer Gate6 protocols
  • LI11Pond At The Bend5 protocols
  • TB04Yang Pool5 protocols
  • GB21Shoulder Well4 protocols
  • LI05Yang Stream4 protocols
  • LI15Shoulder And Clavicle4 protocols
  • CV12Stomach Centre3 protocols
  • GB20Wind Pool3 protocols
  • LI10Arm Three Miles3 protocols
  • PC06Inner Gate3 protocols